Provider Demographics
NPI:1124055371
Name:ARIAS, FELIPE ANTONIO (MD)
Entity type:Individual
Prefix:MR
First Name:FELIPE
Middle Name:ANTONIO
Last Name:ARIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 PENN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3410
Mailing Address - Country:US
Mailing Address - Phone:610-898-0766
Mailing Address - Fax:610-374-5010
Practice Address - Street 1:525 PENN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3410
Practice Address - Country:US
Practice Address - Phone:610-374-4576
Practice Address - Fax:610-374-5010
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069311L207Q00000X, 207QA0401X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA412546OtherUNITED HEALTHCARE
PA20099375OtherAMERIHEALTH MERCY
PA6240854OtherAETNA MEDICARE
PA7570495OtherAETNA
PA999252OtherUPMC
PA001937640Medicaid
PA1540616OtherKEYSTONE HEALTH PLAN CENTRAL
PA1540616OtherHIGHMARK BC BS
PA50091362OtherCAPITAL BC
PA20099375OtherAMERIHEALTH MERCY
PAH86740Medicare UPIN